Portable Internet

Please fill out completely to be eligible for selection or demo accounts. Responses will be held in confidence. Fax signed NDA only. Sorry, we cannot accept FAXed applications!

Company:
Date Completed:	//
Completed by:
Address:
City:	State: ZipCode:
How did you hear about us?	(e.g. name/Nextel)

Contact Info:

Yours:

Name:
Title:
Phone:	()- x
Cell phone:	()-
Fax	()-
Email:

Decision Maker (Owner/President/GM):

Name:
Title:
Phone:	()- x
Cell phone:	()-
Fax	()-
Email:

1. General Information

Number of Enterprise Sales Employees:
Number of locations:
Number of Enterprise customers
Number of Enterprise Activations/year
Geographic coverage (e.g. cities outside of the Metro area in the HQ city above):

2. Industries:

No specific concentration Fortune 500 Fortune 2000

Select Industries:
Transportation Distribution Construction Government Services
Other (specify)

3. Carriers:

Alltel Cingular Nextel Nextel Partners Sprint PCS

Southern Linc T-Mobile Verizon Wireless

Agent (AA) to (Master Representative Name)

Authorized Reseller

Master Representative

National Dealer

Other, specify:

5-Star

Auth. Service Center

REQUIRED References:

Carrier AE/Dealer Mgr:
Phone: ( ) - x
E-mail:

Carrier Data Rep/ DAE:
Phone: ()- x
E-mail:

4. Current Data Sales units/yr:

SMS:
WAP/dialup:
CDPD/GPRS/Total Connect/J2ME:

5. Data or GPS applications (tracking, work order, nav, field service, field sales) sold today (or state "NONE")
Vendor Number of units /yr
Start Date: // Avg comm. $/unit

Vendor Number of units /yr
Start Date: // Avg comm. $/unit

Comments about application(s) or vendor(s)

6. Customers I have, who want what Portable Internet GPS tracking or other solutions:
Number of Companies I think I can sell next 12 months: Units next 12 months:

Example customers/comments:

7. We have high speed Internet access and Internet Explorer in all our sales locations.
yes no
If you checked no, explain what Internet access you have (Dialup, none, other browser)

8. How do you provide Post-Sales Support enterprise data customers
call center Sales rep

9. Timeframe to sell our product(s)
Immediate - let's call on a customer this week 7-30 days 31-90 days
More than 90 days Unknown

10. Follow-up:
E-mail me literature/prices Need java demo account Send exclusive
non-exclusive contract (contracts sent after first sale, comm. Retro up to 6 mos before signing)

11. Comments/Questions: